首页 | 本学科首页   官方微博 | 高级检索  
     

下颈椎脱位早期复位前路内固定疗效分析
引用本文:付涟桥,刘晓岚,张金明,唐金平,谭震,童杰,刘社庭. 下颈椎脱位早期复位前路内固定疗效分析[J]. 实用骨科杂志, 2011, 17(11): 965-968
作者姓名:付涟桥  刘晓岚  张金明  唐金平  谭震  童杰  刘社庭
作者单位:湖南省南华大学附属郴州市第一人民医院骨科,湖南郴州,100202
摘    要:目的观察下颈椎脱位患者早期复位结合前路内固定手术治疗的临床效果。方法选择下颈椎骨折脱位早期行闭合复位(颅骨牵引复位和在全麻下行闭合牵引复位)以及前路开放撬拨椎体复位,并予以椎间植骨融合内固定64例。结果闭合复位成功54例,其中颅骨牵引复位33例,全麻下闭合手法牵引复位21例;在前路手术中牵引下行旋转撬拨复位成功10例。48例患者获8~30个月随访,颈椎复位完全,植骨均融合,无内固定松动、断裂及脱出,神经损伤均有恢复,脊髓F ranke l分级平均提高1级。结论早期复位结合前路内固定手术治疗下颈椎骨折脱位是一种安全、有效的治疗方法。

关 键 词:颈椎脱位  牵引  手术  植骨融合

Analysis of Dislocation of the Lower Cervical with Early Reset Combined Internal Fixtion of Anterior Fusion
FU Lian-qiao,LIU Xiao-lan,ZHANG Jin-ming,et al. Analysis of Dislocation of the Lower Cervical with Early Reset Combined Internal Fixtion of Anterior Fusion[J]. Journal of Practical Orthopedics, 2011, 17(11): 965-968
Authors:FU Lian-qiao  LIU Xiao-lan  ZHANG Jin-ming  et al
Affiliation:FU Lian-qiao,LIU Xiao-lan,ZHANG Jin-ming,et al(1st Hospital of Chenzhou Affiliated to Nanhua University,Chenzhou 100202,China)
Abstract:objective To observe the clinical effect with early reset combined internal fixation of anterior fusion in treatment of patients with dislocation of the lower cervical.Methods Dislocation of the lower cervical early closed traction reset(Skull traction reset and general anesthesia closed traction reset) and open surgery Skiing dial vertebral reset,and the vertebral between bone graft fusion fixation 64 cases.Results Closed reduction 54 cases of success,among skullt traction reset 33 cases,general anesthesia...
Keywords:cervical dislocation  traction  surgery  bone graft and fixation  
本文献已被 CNKI 维普 万方数据 等数据库收录!
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号